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Life Threatening? No
Write-up: A 31 yr/o female who presents with palpitations and left upper back pain. Patient reports she has been told she has a high resting heart rate on prior healthcare encounters, especially when she has been seen here in our facility for asthma exacerbations. She states because of this she has worn a Holter monitor with no evidence of arrhythmia. Over the past year or so she has had a few episodes of heart palpitations described as a flip-flopping or fluttering or irregularity of her heartbeat. She had a few hours worth of palpitations after receiving her first Covid vaccination a few weeks ago. She received second Covid vaccination yesterday and has had off-and-on palpitations both last night and throughout the day today. Beginning this morning she developed a sharp constant pleuritic discomfort in the left upper back near the shoulder blade, which is worse with deep breath. No fever, cough or dyspnea. No anterior chest pain whatsoever. No leg swelling. No history of DVT or PE.
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